person
Mr. John Joseph Brucklier, MSW
Mental Health Counselor in Republic, Washington
NPI 1780902122

John Joseph Brucklier is a Mental Health Counselor based in Republic, WA and is specialized in Mental Health. John Joseph Brucklier practices in Republic, WA and has the professional credentials of MSW. The NPI Number for John Joseph Brucklier is 1780902122 and holds a License No. RC00052748 (Washington).

The current practice location address for John Joseph Brucklier is 42 Klondike, Republic, WA and can be reached out via phone at 509-775-3341 and via fax at 509-775-2937.

Location: 42 Klondike, Republic, WA, 99166-1120
person
Provider Profile Details
NPI Number
1780902122
Provider Name
John Joseph Brucklier
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
42 Klondike, Republic, WA, 99166-1120
Phone Number
509-775-3341
Fax Number
509-775-2937
Provider Enumeration Date
05/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC00053748 01 WA DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
42 Klondike
City
State
Zip
99166-1266
Phone Number
509-775-3341
Fax Number
509-775-2937
person
Provider Business Mailing Address Details
Address
42 Klondike
City
State
Zip
99166-1266
Phone Number
509-775-3341
Fax Number
509-775-2937
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
RC00052748 (Washington)
Definition
Definition to come...
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